Clinical signs and laboratory markers in predicting progression to AIDS in HIV-1 infected patients

Scand J Infect Dis. 1991;23(4):443-9. doi: 10.3109/00365549109075092.

Abstract

In a prospective longitudinal study 89 men with HIV-1 infection were observed for a mean time of 51 months with regard to clinical signs and laboratory findings predictive of progression to AIDS/opportunistic infection (OI). In a bivariate regression analysis the clinical signs showing a significant relation to AIDS development were: dermatitis of the face, yellow toe nail changes, hairly leukoplakia and oral candidiasis. The laboratory findings significantly associated with progression to AIDS were: decrease of the relative and absolute number of CD4 lymphocytes, decrease of the CD4/CD8 ratio, HIV p24 antigenaemia, lack of anti-HIV p24, elevated erythrocyte sedimentation rate, anaemia and elevated serum-beta-2-microglobulin. The relative number (%) of CD4 cells was found superior to the absolute number and the CD4/CD8 ratio. In a multivariate regression analysis decrease of CD4 lymphocytes and lack of anti-HIV p24 were independently associated with subsequent AIDS/OI development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications
  • Acquired Immunodeficiency Syndrome / diagnosis*
  • Adult
  • Anemia / complications
  • Bisexuality
  • Blood Sedimentation
  • CD4-CD8 Ratio
  • CD4-Positive T-Lymphocytes
  • Candidiasis, Oral / complications
  • Dermatitis / complications
  • Face
  • HIV Core Protein p24 / blood
  • HIV Infections / complications
  • HIV Infections / diagnosis*
  • Homosexuality
  • Humans
  • Leukocyte Count
  • Leukoplakia, Oral / complications
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Nails / pathology
  • Opportunistic Infections / complications*
  • Prognosis
  • Prospective Studies
  • Regression Analysis
  • Toes
  • beta 2-Microglobulin / analysis

Substances

  • HIV Core Protein p24
  • beta 2-Microglobulin